Purtscher Retinopathy and Purtscher-like Retinopathy Treatment & Management

Updated: Jul 19, 2019
  • Author: Edward Chaum, MD, PhD; Chief Editor: Andrew G Lee, MD  more...
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Treatment

Medical Care

No proven treatment exists for Purtscher retinopathy that occurs after traumatic injury.

In patients with retinopathy due to systemic vasculitis, steroid therapy is theoretically beneficial.

Control of the underlying disease with other medications may be indicated.

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Surgical Care

Provide surgical care as required for traumatic chest and head injuries that are associated with Purtscher retinopathy.

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Consultations

Refer as indicated, based on the etiology of the retinopathy.

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Activity

No restrictions are required, unless indicated by severe bilateral vision loss.

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Prevention

Since blunt chest trauma is a common cause of Purtscher retinopathy, educate people to wear seat belts. This effort may reduce the risk of people being unrestrained in MVAs.

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Further Outpatient Care

Further outpatient care is as indicated by the medical workup.

A retinal specialist or a general ophthalmologist should provide follow-up care to patients with Purtscher retinopathy until the condition is shown to be stable and does not require laser treatment for ischemic complications. Thereafter, the patient can be followed by a general eye care practitioner.

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Further Inpatient Care

Further inpatient care is as indicated by the workup for trauma or systemic disease.

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